• Clinical imaging · Jul 2017

    Case Reports

    Plain radiography may underestimate the burden of body packer ingestion: A case report.

    • Yonah B Esterson, Vihas Patel, Jeffrey Nicastro, and Barak Friedman.
    • Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040, USA. Electronic address: YEsterson@northwell.edu.
    • Clin Imaging. 2017 Jul 1; 44: 57-60.

    AbstractBody packing refers to the intracorporeal concealment of illicit drugs. Here we report the case of a 55-year-old body packer who presented with palpitations, visual hallucinations, and a sense of impending death. Abdominal radiography demonstrated five ovoid foreign bodies overlying the rectum. At subsequent gastrotomy and cecotomy, thirty-eight cocaine-containing packets were retrieved from the stomach and ascending colon as well as from the rectum. As the contraband market evolves new techniques to evade detection, evaluation of the burden of body packer ingestion has become increasingly challenging. As demonstrated in this case, plain radiography can grossly underestimate the burden of ingestion.Copyright © 2017 Elsevier Inc. All rights reserved.

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